{
"Npi": {
"NPI": "1982001236",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHEEHAN",
"FirstName": "LISA",
"MiddleName": "ANN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS, ATC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MERRILL",
"OtherFirstName": "LISA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MS, ATC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "508 GIORDANO AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARLIN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08859-4108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-529-4126",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "25 LESHIN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGHTSTOWN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08520-4001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-443-7738",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/02/2014",
"LastUpdateDate": "05/06/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2255A2300X",
"TaxonomyName": "Athletic Trainer",
"LicenseNumber": "25MT00160300",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}